OSCR

Targeting CDK12 disrupts estrogen-receptor chromatin recruitment and ER-MED1 transcription in advanced ER+ breast cancer.

Overview

  1. Endocrine Oncology Research Group, Department of Surgery, Royal College of Surgeons in Ireland, University of Medicine and Health Sciences, Dublin, Ireland
  2. Department of Surgery, Beaumont Hospital, Dublin, Ireland
  3. Department of Pathology, Beaumont Hospital, Dublin, Ireland
  4. The School of Pharmacy and Biomolecular Sciences, The Royal College of Surgeons University of Medicine and Health Sciences, Dublin, Ireland
  5. Carrick Therapeutics Ltd, Blanchardstown Corporate Park, Dublin, Ireland
  6. Women’s Cancer Research Center, Magee-Womens Research Institute, UPMC Hillman Cancer Center, Pittsburgh, PA 15213, United States
  7. Department of Pharmacology and Chemical Biology, University of Pittsburgh, Pittsburgh, PA 15213, United States
  8. Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN 55901, United States
  9. Beaumont RCSI Cancer Centre, Beaumont Hospital, Dublin, Ireland
Institutions: Royal College of Surgeons in Ireland (Ireland); Beaumont Hospital (Ireland); University of Pittsburgh (United States); Magee-Womens Research Institute (United States); UPMC Hillman Cancer Center (United States); University of Pittsburgh Medical Center (United States); Mayo Clinic (United States)
Journal: Journal of the National Cancer Institute, volume 118, issue 3, pages 404-421
Dates: received 17 February 2025; accepted 27 September 2025; published online 15 October 2025; in print March 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI 10.1093/jnci/djaf295 · PMID 41092317 · PMCID PMC13016824 · OpenAlex W4415200153
Open access: hybrid, a free copy (OpenAlex)
Status: data only
Categories: human (organism), mouse (organism), other condition (population), cellular / molecular (subfield)
Methods: Spectral & time-frequency, Statistics
MeSH: Breast Neoplasms*, Chromatin*, Cyclin-Dependent Kinases*, Mediator Complex Subunit 1*, Receptors, Estrogen*, Animals, Brain Neoplasms, Cell Line, Tumor, Female, Gene Expression Regulation, Neoplastic, Humans, Mice, Transcription, Genetic (* major topic)
Topic: Cancer-related Molecular Pathways (Oncology, Medicine), according to OpenAlex
Funding: Enterprise Ireland (IP/2019/0796); Breast Cancer Ireland (18239A01); Research Ireland (19/FFP/6443, 20/FFP-P/8597, 23/SPP/11783); Science Foundation Ireland (SFI); Irish Research Council SFI-IRC Pathway (22/PATH-S/10866); Breast Cancer Now (2021JulyPCC1460, 2019AugSF1310); Walk the Walk; European Interreg Blue Organoids for Treatment Selection (EAPA_0048/2022)
Citations: cited by 3 papers (Europe PMC); 55 references in the paper

Abstract

Background: Cyclin-dependent kinase 12 (CDK12) regulates general gene transcription elongation and plays multiple roles in RNA splicing, DNA damage-response, cell cycle, and genomic stability. However, transcriptional partners that guide CDK12-specific gene programs have not been identified. Genomic alterations in CDK12 have been observed in multiple cancers, exhibiting both pro-tumorigenic and tumor-suppressive functions, suggesting a context-dependent mechanism of action.

Methods: CDK12 copy number alterations and gene expression levels were analyzed in matched primary and brain metastatic patient tumors. Clinical significance was assessed by immunohistochemistry in a large cohort of primary breast cancer patient tumors. RNA sequencing, ChIP sequencing, and molecular studies were conducted to explore CDK12’s mechanism of action, and pharmacological studies were performed both in vitro and in vivo using models of advanced (endocrine-resistant and metastatic) estrogen receptor positive (ER+) disease.

Results: CDK12 amplifications and gene overexpression were observed in brain metastatic tumors. In ER+ primary patient tumors, high CDK12 protein expression was significantly associated with poor overall survival, particularly within the ER+/HER2-negative group. In ER+ endocrine resistant models, CDK12 regulated estrogen signaling pathways, with ER/MED1 identified as the master transcriptional complex directing CDK12-specific pro-tumorigenic gene programs. Pharmacological inhibition of CDK12 significantly reduced viability in endocrine resistant and metastatic cell and organoid models in vitro, and decreased metastatic spread in vivo.

Conclusion: This work describes a novel mechanism for CDK12, suggesting a potential vulnerability in ER+ breast cancer. These findings provide a basis for further investigation into the role of CDK12 inhibition as a therapeutic approach, particularly in advanced disease settings.

Reproduced under the paper's license (CC BY), from the paper cited above.

Code

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Data

Datasets cited

Other data links

Data availability

Breast cancer models. Processed RNA-seq and ChIP-seq data from studies in LY2 cells are available in figshare, at https://doi.org/10.6084/m9.figshare.30618569 (RNA-seq), and https://doi.org/10.6084/m9.figshare.30618884 (ChIP-seq). Patient samples. Whole exome sequencing (n = 39 patients) and RNA sequencing (n = 45 patients) data from matched primary breast and brain metastatic tumors have been previously described and made available by Cosgrove et al.24 Processed RNA-sequencing data (n = 45) is available in Gene Expression Omnibus (GEO), at https://www.ncbi.nlm.nih.gov/geo/, and can be accessed with accession number GSE184869. Processed Whole exome-seq data (n = 18) is available in figshare, at https://figshare.com/, and can be accessed with 10.6084/m9.figshare.16685680.v1. Processed Whole exome-sequencing data (n = 21) can be downloaded upon request from the database of Genotypes and Phenotypes (dbGaP), at https://dbgap.ncbi.nlm.nih.gov/, and can be accessed with accession number phs000730.v1.pl.

Reproduced under the paper's license (CC BY), from the paper cited above.

Versions

The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.

Version 1, 30 September 2026: the first record

Recorded: type, language, journal, volume, issue, pages, dates, 25 authors, 13 MeSH terms, 8 funders, 55 references.

Cite

This paper

Ottaviani, D., Ola, M., Allotta, A., Maati Chaibi, Y., Hickey, S., Jagust, P., Cosgrove, N., Cocchiglia, S., Bane, F., Fallon, R., Daly, G., Hegarty, A., Hudson, L., Sheehan, K., Kalsi, S., Shovlin, S., Powell, A., Bahl, A., Ainscow, E., . . . Young, L. (2026). Targeting CDK12 disrupts estrogen-receptor chromatin recruitment and ER-MED1 transcription in advanced ER+ breast cancer. Journal of the National Cancer Institute, 118(3), 404-421. https://doi.org/10.1093/jnci/djaf295

BibTeX

@article{ottaviani2026targeting,
author = {Ottaviani, Daniela and Ola, Mihaela and Allotta, Alessandra and Maati Chaibi, Yasmine and Hickey, Seán and Jagust, Petra and Cosgrove, Nicola and Cocchiglia, Sinéad and Bane, Fiona and Fallon, Ramón and Daly, Gordon and Hegarty, Aisling and Hudson, Lance and Sheehan, Katherine and Kalsi, Shannon and Shovlin, Stephen and Powell, Aoibhín and Bahl, Ash and Ainscow, Ed and Oesterreich, Steffi and Lee, Adrian V and Couch, Fergus J and Hill, Arnold D K and Varešlija, Damir and Young, Leonie},
title = {{Targeting CDK12 disrupts estrogen-receptor chromatin recruitment and ER-MED1 transcription in advanced ER+ breast cancer}},
journal = {Journal of the National Cancer Institute},
year = {2026},
month = mar,
volume = {118},
number = {3},
pages = {404--421},
publisher = {Oxford University Press},
issn = {0027-8874},
doi = {10.1093/jnci/djaf295},
url = {https://doi.org/10.1093/jnci/djaf295},
pmid = {41092317},
pmcid = {PMC13016824}
}

RIS

TY - JOUR
AU - Ottaviani, Daniela
AU - Ola, Mihaela
AU - Allotta, Alessandra
AU - Maati Chaibi, Yasmine
AU - Hickey, Seán
AU - Jagust, Petra
AU - Cosgrove, Nicola
AU - Cocchiglia, Sinéad
AU - Bane, Fiona
AU - Fallon, Ramón
AU - Daly, Gordon
AU - Hegarty, Aisling
AU - Hudson, Lance
AU - Sheehan, Katherine
AU - Kalsi, Shannon
AU - Shovlin, Stephen
AU - Powell, Aoibhín
AU - Bahl, Ash
AU - Ainscow, Ed
AU - Oesterreich, Steffi
AU - Lee, Adrian V
AU - Couch, Fergus J
AU - Hill, Arnold D K
AU - Varešlija, Damir
AU - Young, Leonie
TI - Targeting CDK12 disrupts estrogen-receptor chromatin recruitment and ER-MED1 transcription in advanced ER+ breast cancer
T2 - Journal of the National Cancer Institute
J2 - J Natl Cancer Inst
PY - 2026
DA - 2026/03/01
VL - 118
IS - 3
SP - 404
EP - 421
SN - 0027-8874
PB - Oxford University Press
DO - 10.1093/jnci/djaf295
UR - https://doi.org/10.1093/jnci/djaf295
LA - en
ER -

CSL-JSON

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